5.3.1 Flashcards
What are the three important pathways of iron once it is utilise by the mithochondria?
-Heme Synthesis
-Fe-S clusters Biogenesis
-Mithochondrial Iron Storage (ferritin)
What is the tetramer of four globin chains with heme attach to each globin chain?
-Hemoglobin
These are bonds that are located between the diamers.
-a1B2 and a2B1 bonds
What is the hormone secreted by the Hepatocytes?
-Hepcidin
What will happen if the Fe level is low?
-hepcidin will increase, recycling and absorption will also be activated. (if increase then the hepcidin will increase also but will inactivate the absorption of erythrocytes and the recycling of the macrophages and hepatocytes)
What is the most common form of anemia?
-IDA (iron dificiency anemia)
What is the good indicator of iron storage status and the first laboratory test that will result in abnormal IDA?
-Serum Ferritin
The sample of this test must be drawn early in the morning and required 12 hour fasting?
-Serum Iron
This can be measured by a hematoflourometer or by an extraction of flourescence method?
-FEP (free erythrocyte porphyrin)
Measures the maximum amount of iron that can bind to serum transferrin and an indirect measure of the protein transferrin?
-TIBC (total iron binding capacity)
How many grams of iron that the human body contain?
-4g
If the 60% of the iron stored in blood, then where’s the remaining of it stored?
-ferritin or hemosiderin
Disease that occurs when the iron stores in the body have been depleted?
-IDA
What stage of IDA that the functional iron depletes and the blood becomes microcytic and hypochromic?
-Stage 3 (Stage 1 - storage iron & Stage 2 - transport iron)
What are the clinical symptoms of IDA?
-fatigue, weakness, diziness, pica, stomatitis, glossitis, koilonychia
Clinical symptoms of IDA that is when a person is craving or eating unusual food such as starch?
-Pica
Sore tongue?
-Glossitis
Spooning of the nails?
-Koilonychia
What will show under the microscope if the blood smear we used is from a patient that has IDA?
-Ovalocytes or pencil forms of cells
This is the 2nd most common form of anemia and most common in hospitalized patients?
-ACD (Anemia of Chronic Disease)